An Environmental Scan of Pay for Performance in the Hospital Setting: Final Report. II. A Review of the Evidence on Hospital Pay for Performance


This chapter summarizes the empirical evidence on the effect of P4P in the hospital setting, based on application and theory. We begin with a review of published studies that assess the impact of P4P programs on health care quality, safety, and/or resource use, including studies that address P4P in either the hospital inpatient or the hospital outpatient setting. We then follow with a summary of relevant lessons for hospital P4P that can be drawn from the management and economic literature on how individuals in general respond to incentives, and we consider the implications for structuring incentives to achieve the desired behavioral response.

View full report


"PayPerform07.pdf" (pdf, 1.22Mb)

Note: Documents in PDF format require the Adobe Acrobat Reader®. If you experience problems with PDF documents, please download the latest version of the Reader®